Information Collection

Distributions From Pensions, Annuities, Retirement or Profit- Sharing Plans, IRAs, Insurance Contracts, etc.

IC 16938 under ICR 201111-1545-023 · OMB 1545-0119.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0119 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1099-R Distributions From Pensions, Annuities, Retirement or Profit- Sharing Plans, IRAs, Insurance Contracts, etc.	Form and Instruction
1099-R Distributions From Pensions, Annuities, Retirement or Pr 2012 Form 1099-R and Draft Instructions.pdf	Form and Instruction
2011 Burden Form 1099-R.PDF 2011 Burden Form 1099-R	IC Document

IC Title:

Distributions From Pensions, Annuities, Retirement or Profit- Sharing Plans, IRAs, Insurance Contracts, etc.

Agency IC Tracking Number:

jg-0119-023

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 1.6047-1(a)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1099-R	Distributions From Pensions, Annuities, Retirement or Profit- Sharing Plans, IRAs, Insurance Contracts, etc.	2012 Form 1099-R and Draft Instructions.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,600

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 97 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	93,446,700	0	31,098,216	62,348,484
Annual IC Time Burden (Hours)	39,247,614	11,213,604	9,329,464	18,704,546
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2011 Burden Form 1099-R	2011 Burden Form 1099-R.PDF	11/16/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.